2020 Martin Luther King, Jr. Challenge
The MLK Challenge is an annual Service-Learning event that celebrates the life and teachings of Dr. Martin Luther King Jr. The day incorporates an educational kick-off, service projects, and a reflection wrap-up. Students must work together and utilize problem-solving skills in order to finish their task.
**Please note, this event is open to Central Piedmont students that are (or will be) enrolled in courses during the Spring 2020 semester.
MLK Day 2020 is on JANUARY 20th! Please use the form below to register.
if you have questions.
Student Email Address
Central Piedmont Student ID Number
2020 MLK Challenge
Monday, January 20th (8:00am-5:00pm)
Yes, I commit to attend this event, understanding that space is limited.
Are you completing this event for Service-Learning credit for a course or a club?
If so, please list your instructor and course or club. If not, put "N/A."
Will you be 18 years or older at the time of this event?
No (If "no", you must print out the Hold Harmless Agreement and have it signed by a parent or guardian. You must then bring the signed form with you on the day of the event in order to participate).
Hold Harmless Agreement
The undersigned, being over the age of 18 years or in the capacity of legal guardian for a person identified below, does hereby acknowledge that there are risks of physical harm and injury inherent in service activities including but not limited to, working with people, participating in sports and recreational activities, cleaning and maintenance projects, preparing and serving food, and other service activities, and in transportation to and from service work sites. As partial consideration of being allowed to participate in this activity with Central Piedmont Community College, I hereby assume all risks in the travel activity and connected activities and hereby knowingly and intentionally waive any and all claims, of whatsoever kind or nature, against such institutions which may arise out of this activity. I specifically acknowledge that in performing these activities, I am doing so in the status of a server/volunteer for the community agency, and not a server/volunteer, employee or agent of Central Piedmont Community College. I further waive any and all claims which may arise from such service activities, acknowledge that workers compensation benefits are not extended to me in my capacity as a server/volunteer and hold Central Piedmont Community College harmless from any of my negligent acts. I specifically grant this waiver of claims for myself and/or on behalf of my ward identified below and will indemnify and hold harmless such institutions and individuals from any claims.
I am 18 or older and agree to the above statement
I am not 18 (Form that needs to be printed, signed by parent or guardian, and brought on the day of the MLK Challenge can be found at:
Students who register for events through Central Piedmont Community College (CPCC) are responsible for providing their own transportation. The Service-Learning Coordinator(s) responsible for Service in Action events at CPCC will provide transportation options for students who register for these events, when possible. It is the student’s responsibility to request a space in the van upon registration of the Service in Action event. There are only 6 spaces in the van, and these seats are reserved on a first-come, first-serve basis. It is the students’ responsibility to find their own transportation to and from CPCC Central campus, and the van will take them from CPCC to the service site and back to CPCC. The van departs 15 minutes before the scheduled time for each event and immediately leaves the service site upon completion. Students providing their own transportation to the service sites are responsible for their transportation home upon completion of the event. CPCC staff will not stay with students participating in service projects after the service project ends; each student is responsible for their own health and safety prior to, during, and at the completion of each Service in Action project. Central Piedmont Community College and the Office of Service-Learning does not accept liability or responsibility for any student participating in Service-Learning opportunities.
Yes, I have read and agree to the above Transportation Policy
Photographs, Videos, and Recordings Consent Waiver, Indemnity, and Release
I hereby grant permission to CPCC and their representatives to take photographs and/or videos of me and to make recordings of my voice as a participant in college sponsored activities. I further grant to Central Piedmont Community College and its representatives the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative (edited and altered) works of these images and recordings in any media now known or later developed for such purposes and for which the College deems fit. I acknowledge that Central Piedmont Community College owns all rights to the images and recordings in any medium. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph/ video. I hereby hold harmless and release and forever discharge Central Piedmont Community College, its governing board, officers, agents, employees, and any students acting on behalf of the College from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I have read this document before signing below, and I fully understand the contents, meaning and impact of this consent, waiver, indemnity, release, and covenant not to sue.
I have read and agree to the above Photographs, Videos, and Recordings consent Waiver, Indemnity, and Release
I have read the above Photographs, Videos, and Recordins Consent Waiver, Indemnity, and Release form, but I do not want my photographs, videos, or recording to be released.
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This form was created inside of CPCC - Employees.